Individual provider Active NPI

Lavinia Castillo Sagario, PA-C

  • Physician Assistant
  • Corona, CA
National Provider Identifier
1467286187
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1820 Fullerton Ave Ste 115
Corona, CA 92881-3113
Phone
(323) 306-9632
Fax
(323) 268-6738
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

1820 Fullerton Ave Ste 115
Corona, CA 92881-3113

Mailing address

14650 Aviation Blvd Ste 200
Hawthorne, CA 90250-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002565 CA Practitioner - Physician Assistant 0345765046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Medical Associates, Inc. CurrentSince May 18, 2025 Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients
Michael R. Gatto MD, Inc. PastSince Aug 1, 2007 Accepting new patients
Employee Medical Consultants PC Past Accepting new patients

Locations

1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 817-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1467286187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 115",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813113",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGARIO",
        "first_name": "LAVINIA",
        "middle_name": "CASTILLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.